article on how pd'ers don't get the same level of care
http://www.journalofparkinsonsdiseas...mans_Blog.html

How did the centers do? What the researchers found was that out of the 20 centers of excellence — all considered elite institutions that claim to follow the “best practice” guidelines for PD care — some did much better than others. The top performing centers had quality scores of 7 or 8 points above average, and the lowest performers had scores 8 or 9 points below average. Researchers also found that there were, as Schmidt puts it, “pretty serious differences in the choices and combinations of medications from center to center”. So a neurologist in one center might prescribe a moderately advanced patient just Sinemet (that’s levodopa-carbidopa) several times a day. Whereas another clinician in a different center prescribed that same type of patient other pills as well, for example, a dopamine agonist, the enzyme blockers seligiline and encapatone, and an antidepressant to aid sleep. Then, some centers appear to make more (and earlier) use of allied professionals such as physical therapists, speech therapists, and occupational therapists than others. Lifestyle factors — promoted with varying intensity at different institutions — also appear to play a significant role. Those patients who exercised regularly, for example, tended to do better all round — having better mobility and mood.

Is there anywhere a list of what the specific rankings are for these pd centers?

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